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Billing code 64784: Neuroma excisionMedicare rate & RVUs

Reports surgical removal of a neuroma involving the sciatic nerve, typically for a symptomatic lesion requiring operative treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities1K Medicare services in 2024

Medicare pays $673.03 for 64784 nationally in a facility.

Medicare rate · 64784

Neuroma excision

Swap in your local Medicare rate.

Work RVUs
10.35
Total RVUs
20.15
Global days
090

National rate · 2026

$673.03

Facility setting, before claim adjustments.

See every locality for 64784 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 64784 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64784 covers

A surgeon removes a neuroma arising from the sciatic nerve, a major nerve supplying the back of the thigh and lower leg. This procedure may be performed by a peripheral nerve, neurosurgical, or orthopedic surgeon in a hospital or ambulatory surgery setting when a sciatic nerve neuroma is the operative target. The operative report should identify the lesion and its relationship to the sciatic nerve, describe the excision, and support why the selected procedure was performed.

Report this code for sciatic nerve neuroma excision, not for a lesion on another major peripheral nerve or for a nerve biopsy. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 64784 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64784 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$610.64
Alaska*Unavailable$831.44
ArizonaUnavailable$655.03
ArkansasUnavailable$602.98
AtlantaUnavailable$692.16
AustinUnavailable$680.76
BakersfieldUnavailable$677.19
Baltimore/Surr. CntysUnavailable$713.85
BeaumontUnavailable$644.89
BrazoriaUnavailable$658.19

64784 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
64784 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 64784 rate is calculated

Each of 64784’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 64784

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.35Practice expense 7.72Malpractice 2.08

20.1500 adjusted RVUs×$33.4009 conversion factor=$673.03

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 64784

64784 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64784

Neuroma excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64784

Neuroma excision

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

64784 without 51 · national facility

$673.03

Neuroma excision

64784-51 · Second procedure: 50%

$336.52

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

64784 compared with similar codes

Compare codes

64784 vs 64786 vs 64782 vs 64790 vs 64795: national Medicare rates

Swap in your local Medicare rate.

  • 64784
    Neuroma excision · 10.35 wRVU
    —
  • 64786
    Neuroma excision · 15.84 wRVU
    —
  • 64782
    Neuroma excision · 6.69 wRVU
    —
  • 64790
    Nerve tumor removal · 11.8 wRVU
    —
  • 64795
    Nerve biopsy · 2.93 wRVU
    —

How to choose

64786Neuroma excision
This code represents sciatic nerve neuroma excision; 64786 is used when the excision is extensive.
64782Neuroma excision
64782 is for a major peripheral nerve other than the sciatic nerve. The nerve involved, rather than symptoms alone, determines the distinction.
64790Nerve tumor removal
64790 concerns excision of a neurofibroma or neurolemmoma on a major peripheral nerve, not sciatic nerve neuroma excision.
64795Nerve biopsy
64795 reports a nerve biopsy. Use 64784 when the operative service removes a sciatic nerve neuroma rather than sampling nerve tissue.

Codes related to 64784

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 64784
CodeHow it relatesNational office range
Same family
64786Neuroma excisionSciatic nerve neuroma code for an extensive excision.No office rate
64783Neuroma excisionAdditional major peripheral nerve neuroma code associated with 64782.No office rate
Used instead
64782Neuroma excisionFor a major peripheral nerve neuroma outside the sciatic nerve.No office rate
64790Nerve tumor removalFor excision of a neurofibroma or neurolemmoma involving a major peripheral nerve.No office rate
64795Nerve biopsyFor nerve biopsy rather than removal of a sciatic nerve neuroma.No office rate
Often billed with
64787Nerve-end implantationMay describe implantation of a nerve end after nerve excision.No office rate

64784 billing questions

How does this differ from 64786?

Both codes concern sciatic nerve neuroma excision; 64786 is for an extensive excision. The operative documentation should support the extent represented by the selected code.

When should 64782 be used instead?

64782 describes neuroma excision involving a major peripheral nerve other than the sciatic nerve. Use 64784 when the lesion being excised is on the sciatic nerve.

Can nerve-end implantation be reported with this procedure?

Code 64787 describes implantation of a nerve end into bone or muscle and may be relevant when that work is performed. Document the implantation separately from the neuroma excision.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 64784PPRRVU2026_Oct_nonQPP.csv, line 7,234 (RVU26D)

Open CMS sourceHow we calculate rates

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